00.0      Therapeutic ultrasound

Excludes:   diagnostic ultrasound (non-invasive) (88.71-88.79)

intracardiac echocardiography [ICE] (heart chamber(s)) (37.28)

intravascular imaging (adjunctive) (00.21-00.29)

00.01    Therapeutic ultrasound of vessels of head and neck

Anti-restenotic ultrasound

Intravascular non-ablative ultrasound

Excludes: diagnostic ultrasound of:

eye (95.13)

head and neck (88.71)

that of inner ear (20.79)

ultrasonic:

angioplasty of non-coronary vessel (39.50)

embolectomy (38.01, 38.02)

endarterectomy (38.11, 38.12)

thrombectomy (38.01, 38.02)

00.02    Therapeutic ultrasound of heart

Anti-restenotic ultrasound

Intravascular non-ablative ultrasound

Excludes:diagnostic ultrasound of heart (88.72)

ultrasonic ablation of heart lesion (37.34)

ultrasonic angioplasty of coronary vessels (00.66, 36.09)

00.03    Therapeutic ultrasound of peripheral vascular vessels

Anti-restenotic ultrasound

Intravascular non-ablative ultrasound

Excludes:diagnostic ultrasound of peripheral vascular system (88.77)

ultrasonic angioplasty of:

non-coronary vessel (39.50)

00.09    Other therapeutic ultrasound

Excludes:ultrasonic:

fragmentation of urinary stones (59.95)

percutaneous nephrostomy with fragmentation (55.04)

physical therapy (93.35)

transurethral guided laser induced prostatectomy (TULIP) (60.21)

00.1      Pharamaceuticals

00.10    Implantation of chemotherapeutic agent

Brain wafer chemotherapy

Interstitial/ intracavitary

Excludes:injection or infusion of cancer chemotherapeutic substance (99.25)

00.11    Infusion of drotrecogin alfa (activated)

Infusion of recombinant protein

00.12    Administration of inhaled nitric oxide

 Nitric oxide therapy

00.13    Injection or infusion of nesiritide

Human B-type natriuretic peptide (hBNP)

00.14    Injection or infusion of oxazolidinone class of antibiotics

Linezolid injection

00.15    High-dose infusion interleukin-2 [IL-2]

Infusion (IV bolus, CIV) interleukin

Injection of aldesleukin

Excludes: low-dose infusion interleukin-2 (99.28)

00.16    Pressurized treatment of venous bypass graft [conduit] with pharmaceutical substance

Ex-vivo treatment of vessel

Hyperbaric pressurized graft [conduit]

00.17    Infusion of vasopressor agent

00.18    Infusion of immunosuppressive antibody therapy

Includes: during induction phase of solid organ transplantation

              monoclonal antibody therapy

              polyclonal antibody therapy

00.19    Disruption of blood brain barrier via infusion [BBBD]

Infusion of substance to disrupt blood brain barrier

Code also chemotherapy (99.25)

Excludes:  other perfusion (39.97)

00.2      Intravascular imaging of blood vessels

Endovascular ultrasonography

Intravascular ultrasound (IVUS)

Intravascular [ultrasound] imaging of blood vessels

Note: real-time imaging of lumen of blood vessel(s) using sound waves

Code also any synchronous diagnostic or therapeutic procedures

Excludes: adjunct vascular system procedures, number of vessels treated (00.40-00.43)

diagnostic procedures on blood vessels (38.21-38.29)

diagnostic ultrasound of peripheral vascular system (88.77)

magnetic resonance imaging (MRI) (88.91-88.97)

therapeutic ultrasound (00.01-00.09)

00.21    Intravascular imaging of extracranial cerebral vessels

Common carotid vessels and branches

Intravascular ultrasound (IVUS), extracranial cerebral vessels

Excludes:  diagnostic ultrasound (non-invasive) of head and neck (88.71)

00.22    Intravascular imaging of intrathoracic vessels

Aorta and aortic arch

Intravascular ultrasound (IVUS), intrathoracic vessels

Vena cava (superior) (inferior)

Excludes: diagnostic ultrasound (non-invasive) of other sites of thorax (88.73)

00.23    Intravascular imaging of peripheral vessels

Imaging of:

    vessels of arm(s)

    vessels of leg(s)

 Intravascular ultrasound (IVUS), peripheral vessels

Excludes: diagnostic ultrasound (non-invasive) of peripheral vascular system (88.77)

00.24    Intravascular imaging of coronary vessels

Intravascular ultrasound (IVUS), coronary vessels

 Excludes: diagnostic ultrasound (non-invasive) of heart (88.72)

  intracardiac echocardiography [ICE] (ultrasound of heart chamber(s)) (37.28)

00.25    Intravascular imaging of renal vessels

Intravascular ultrasound (IVUS), renal vessels

Renal artery

Excludes: diagnostic ultrasound (non-invasive) of urinary system (88.75)

00.28    Intravascular imaging, other specified vessel(s)

00.29    Intravascular imaging, unspecified vessel(s)

00.3      Computer assisted surgery [CAS]

CT-free navigation

Image guided navigation (IGN)

Image guided surgery (IGS)

Imageless navigation

Code also diagnostic or therapeutic procedure

Excludes:  stereotactic frame application only (93.59)

00.31    Computer assisted surgery with CT/CTA

00.32    Computer assisted surgery with MR/MRA

00.33    Computer assisted surgery with fluoroscopy

00.34    Imageless computer assisted surgery

00.35    Computer assisted surgery with multiple datasets

00.39    Other computer assisted surgery

Computer assisted surgery NOS

00.4      Adjunct Vascular System Procedures

Note:  These codes can apply to both coronary and peripheral vessels.  These codes are to be used in conjunction with other

 therapeutic procedure codes to provide additional information on the number of vessels upon which a procedure

 was performed and/or the number of stents inserted.  As appropriate, code both the number of vessels operated

 on (00.40-00.43), and the number of stents inserted (00.45-00.48).

Code also any:

   angioplasty or atherectomy (00.61-00.62, 00.66, 39.50)

   endarterectomy (38.10-38.18)

   insertion of vascular stent(s) (00.55, 00.63-00.65, 36.06-36.07, 39.90)

   other removal of coronary artery obstruction (36.09)

00.40    Procedure on single vessel

Number of vessels, unspecified

Excludes: (aorto)coronary bypass (36.10-36.19)

intravascular imaging of blood vessels (00.21-00.29)

00.41    Procedure on two vessels

Excludes: (aorto) coronary bypass (36.10-36.19)

intravascular imaging of blood vessels (00.21-00.29)

00.42    Procedure on three vessels

Excludes: (aorto) coronary bypass (36.10-36.19)

intravascular imaging of blood vessels (00.21-00.29)

00.43    Procedure on four or more vessels

Excludes: (aorto) coronary bypass (36.10-36.19)

intravascular imaging of blood vessels (00.21-00.29)

00.44    Procedure on vessel bifurcation

Note:  This code is to be used to identify the presence of a vessel bifurcation; it does not describe a specific bifurcation stent.  Use this code only once per operative episode, irrespective of the number of bifurcations in vessels.

00.45    Insertion of one vascular stent

Number of stents, unspecified

00.46    Insertion of two vascular stents

00.47    Insertion of three vascular stents

00.48    Insertion of four or more vascular stents

00.5      Other cardiovascular procedures

00.50    Implantation of cardiac resynchronization pacemaker without mention of defibrillation, total system [CRT-P]

Biventricular pacemaker

Biventricular pacing without internal cardiac defibrillator

BiV pacemaker

Implantation of cardiac resynchronization (biventricular) pulse generator pacing device, formation of

pocket, transvenous leads including placement of lead into left ventricular coronary venous system, and

intraoperative procedures for evaluation of lead signals.

That with CRT-P generator and one or more leads

Note:  Device testing during procedure - omit code

Excludes: implantation of cardiac resynchronization defibrillator, total system [CRT-D] (00.51)

 insertion or replacement of any type pacemaker device (37.80-37.87)

 replacement of cardiac resynchronization defibrillator pulse generator only [CRT-D](00.54)

 replacement of cardiac resynchronization pacemaker pulse generator only [CRT-P](00.53)

00.51    Implantation of cardiac resynchronization defibrillator, total system [CRT-D]

BiV defibrillator

Biventricular defibrillator

Biventricular pacing with internal cardiac defibrillator

BiV ICD

BiV pacemaker with defibrillator

BiV pacing with defibrillator

Implantation of a cardiac resynchronization (biventricular) pulse generator with defibrillator [AICD], formation

 of pocket, transvenous leads, including placement of lead into left ventricular coronary venous system,

 intraoperative procedures for evaluation of lead signals, and obtaining defibrillator threshold measurements.

That with CRT-D generator and one or more leads

Note:  Device testing during procedure - omit code

Excludes: implantation of cardiac resynchronization pacemaker, total system [CRT-P](00.50)

implantation or replacement of automatic cardioverter/defibrillator, total system [AICD] (37.94)

replacement of cardiac resynchronization defibrillator pulse generator, only [CRT-D](00.54)

00.52    Implantation or replacement of transvenous lead [electrode] into left ventricular coronary venous system

Excludes: implantation of cardiac resynchronization defibrillator, total system [CRT-D](00.51)

implantation of cardiac resynchronization pacemaker, total system [CRT-P](00.50)

initial insertion of transvenous lead [electrode] (37.70-37.72)

replacement of transvenous atrial and/or ventricular lead(s) [electrodes] (37.76)

00.53    Implantation or replacement of cardiac resynchronization pacemaker pulse generator only [CRT-P]

Implantation of CRT-P device with removal of any existing CRT-P or other pacemaker device

Note:  Device testing during procedure - omit code

Excludes: implantation of cardiac resynchronization pacemaker, total system [CRT-P] (00.50)

implantation or replacement of cardiac resynchronization defibrillator pulse generator only [CRT-D](00.54)

insertion or replacement of any type pacemaker device (37.80-37.87)

00.54    Implantation or replacement of cardiac resynchronization defibrillator pulse generator device only [CRT-D]

Implantation of CRT-D device with removal of any existing CRT-D, CRT-P, pacemaker, or defibrillator

   device

Note:  Device testing during procedure - omit code

Excludes: implantation of automatic cardioverter/defibrillator pulse generator only (37.96)

implantation of cardiac resynchronization defibrillator, total system [CRT-D] (00.51)

implantation or replacement of cardiac resynchronization pacemaker pulse generator only [CRT-P]  (00.53)

00.55    Insertion of drug-eluting peripheral vessel stent(s)

Endograft(s)

Endovascular graft(s)

Stent grafts

Code also any:

angioplasty or atherectomy of other non-coronary vessel(s) (39.50)

number of vascular stents inserted (00.45-00.48)

number of vessels treated (00.40-00.43)

procedure on vessel bifurcation (00.44)

Excludes: drug-coated peripheral stents, e.g., heparin coated (39.90)

insertion of cerebrovascular stent(s) (00.63-00.65)

insertion of drug-eluting coronary artery stent (36.07)

insertion of non-drug-eluting stent(s):

coronary artery (36.06)

peripheral vessel (39.90)

that for aneurysm repair (39.71 - 39.79)

00.56    Insertion or replacement of implantable pressure sensor (lead) for intracardiac hemodynamic monitoring

Code also any associated implantation or replacement of monitor (00.57)

Excludes:  circulatory monitoring (blood gas, arterial or venous pressure, cardiac output and coronary blood flow) (89.60 - 89.69)

00.57    Implantation or replacement of subcutaneous device for intracardiac hemodynamic monitoring

Implantation of monitoring device with formation of subcutaneous pocket and connection to intracardiac pressure sensor (lead)

Code also any associated insertion or replacement of implanted pressure sensor (lead) (00.56)

00.6   Procedures on blood vessels

00.61    Percutaneous angioplasty or atherectomy of precerebral (extracranial) vessel(s)

Basilar

Carotid

Vertebral

Code also any:

injection or infusion of thrombolytic agent (99.10)

number of vascular stents inserted (00.45-00.48)

number of vessels treated (00.40-00.43)

percutaneous insertion of carotid artery stent(s) (00.63)

percutaneous insertion of other precerebral artery stent(s) (00.64)

procedure on vessel bifurcation (00.44)

Excludes: angioplasty or atherectomy of other non-coronary vessel(s) (39.50)

 removal of cerebrovascular obstruction of vessel(s) by open approach (38.01-38.02, 38.11-38.12, 38.31-38.32, 38.41-38.42)

00.62    Percutaneous angioplasty or atherectomy of intracranial vessel(s)

Code also any:

injection or infusion of thrombolytic agent (99.10)

number of vascular stents inserted (00.45-00.48)

number of vessels treated (00.40-00.43)

percutaneous insertion of intracranial stent(s) (00.65)

procedure on vessel bifurcation (00.44)

Excludes: angioplasty or atherectomy of other non-coronary vessel(s) (39.50)

removal of cerebrovascular obstruction of vessel(s) by open approach (38.01-38.02, 38.11-38.12, 38.31-38.32, 38.41-38.42)

00.63    Percutaneous insertion of carotid artery stent(s)

Includes the use of any embolic protection device, distal protection device, filter device, or stent delivery system

Non-drug-eluting stent

Code also any:

number of vascular stents inserted (00.45-00.48)

number of vessels treated (00.40-00.43)

percutaneous angioplasty or atherectomy of precerebral  vessel(s) (00.61)

procedure on vessel bifurcation (00.44)

Excludes: angioplasty or atherectomy of other non-coronary vessel(s)(39.50) 

 insertion of drug-eluting peripheral vessel stent(s) (00.55)

00.64    Percutaneous insertion of other precerebral (extracranial) artery stent(s)

Includes the use of any embolic protection device, distal protection device, filter device, or stent delivery

system

Basilar stent

Vertebral stent

Code also any:

number of vascular stents inserted (00.45-00.48)

number of vessels treated (00.40-00.43)

percutaneous angioplasty or atherectomy of precerebral vessel(s) (00.61)

procedure on vessel bifurcation (00.44)

Excludes: angioplasty or atherectomy of other non-coronary vessel(s)(39.50) 

insertion of drug-eluting peripheral vessel stent(s) (00.55)

00.65    Percutaneous insertion of intracranial vascular stent(s)

Includes the use of any embolic protection device, distal protection device, filter device, or stent delivery

 system

Code also any:

number of vascular stents inserted (00.45-00.48)

number of vessels treated (00.40-00.43)

percutaneous angioplasty or atherectomy of intracranial vessel(s) (00.62)

procedure on vessel bifurcation (00.44)

Excludes: angioplasty or atherectomy of other non-coronary vessel(s)(39.50)

insertion of drug-eluting peripheral vessel stent(s) (00.55)

00.66    Percutaneous transluminal coronary angioplasty [PTCA] or coronary atherectomy

Balloon angioplasty of coronary artery

Coronary atherectomy

Percutaneous coronary angioplasty NOS

PTCA NOS

Code also any:

injection or infusion of thrombolytic agent (99.10)

insertion of coronary artery stent(s) (36.06-36.07)

intracoronary artery thrombolytic infusion (36.04)

number of vascular stents inserted (00.45-00.48)

number of vessels treated (00.40-00.43)

procedure on vessel bifurcation (00.44)

00.7      Other hip procedures

00.70    Revision of hip replacement, both acetabular and femoral components

Total hip revision

Code also any:

removal of (cement) (joint) spacer (84.57)

type of bearing surface, if known (00.74-00.77)

Excludes:

revision of hip replacement, acetabular component only (00.71)

revision of hip replacement, femoral component only (00.72)

revision of hip replacement, Not Otherwise Specified (81.53)

revision with replacement of acetabular liner and/or femoral head only (00.73)

00.71    Revision of hip replacement, acetabular component

Partial, acetabular component only

That with:

exchange of acetabular cup and liner

exchange of femoral head

Code also any type of bearing surface, if known (00.74-00.77)

Excludes:

revision of hip replacement, both acetabular and femoral components (00.70)

revision of hip replacement, femoral component (00.72)

revision of hip replacement, Not Otherwise Specified (81.53)

revision with replacement of acetabular liner and/or femoral head only (00.73)

00.72    Revision of hip replacement, femoral component

Partial, femoral component only

That with:

exchange of acetabular liner

exchange of femoral stem and head

Code also any type of bearing surface, if known (00.74-00.77)

Excludes:

revision of hip replacement, acetabular component  (00.71)

revision of hip replacement, both acetabular and femoral components (00.70)

revision of hip replacement, not otherwise specified (81.53)

revision with replacement of acetabular liner and/or femoral head only (00.73)

00.73    Revision of hip replacement, acetabular liner and/or femoral head only

Code also any type of bearing surface, if known (00.74-00.77)

00.74    Hip bearing surface, metal-on-polyethylene

00.75    Hip bearing surface, metal-on-metal

00.76    Hip bearing surface, ceramic-on-ceramic

00.77    Hip bearing surface, ceramic-on-polyethylene

00.8      Other knee and hip procedures

Note:  Report up to two components using 00.81 - 00.83 to describe revision of knee replacements.  If all three components are revised, report 00.80.

00.80    Revision of knee replacement, total (all components)

Replacement of femoral, tibial, and patellar components (all components)

Code also any removal of (cement) (joint) spacer (84.57)

Excludes:

revision of only one or two components (tibial, femoral or patellar component) (00.81-00.84)

00.81    Revision of knee replacement, tibial component

Replacement of tibial baseplate and tibial insert (liner)

Excludes:

revision of knee replacement, total (all components) (00.80)

00.82    Revision of knee replacement, femoral component

That with replacement of tibial insert (liner)

Excludes:

revision of knee replacement, total (all components) (00.80)

00.83    Revision of knee replacement, patellar component

Excludes:

revision of knee replacement, total (all components) (00.80)

00.84    Revision of total knee replacement, tibial insert (liner)

Replacement of tibial insert (liner)

Excludes:

that with replacement of tibial component (tibial baseplate and liner) (00.81)

00.85     Resurfacing hip, total, acetabulum and femoral head

Hip resurfacing arthroplasty, total

00.86     Resurfacing hip, partial, femoral head

Hip resurfacing arthroplasty, NOS

Hip resurfacing arthroplasty, partial, femoral head

Excludes: that with resurfacing of acetabulum (00.85)

00.87     Resurfacing hip, partial, acetabulum

Hip resurfacing arthroplasty, partial, acetabulum

Excludes: that with resurfacing of femoral head (00.85)

00.9   Other procedures and interventions

00.91    Transplant from live related donor

Code also organ transplant procedure

00.92    Transplant from live non-related donor

Code also organ transplant procedure

00.93    Transplant from cadaver

Code also organ transplant procedure

00.94    Intra-operative neurophysiologic monitoring

Includes:  Cranial nerve, peripheral nerve and spinal cord

                  testing performed intra-operatively

Intra-operative neurophysiologic testing

IOM

Nerve monitoring

Neuromonitoring

Excludes:  brain temperature monitoring (01.17)

intracranial oxygen monitoring (01.16)

intracranial pressure monitoring (01.10)

plethysmogram (89.58)

01.0      Cranial puncture

01.01    Cisternal puncture

Cisternal tap

Excludes: pneumocisternogram (87.02)

01.02    Ventriculopuncture through previously implanted catheter

Puncture of ventricular shunt tubing

01.09    Other cranial puncture

Aspiration of:

subarachnoid space

subdural space

Cranial aspiration NOS

Puncture of anterior fontanel

Subdural tap (through fontanel)

01.1      Diagnostic procedures on skull, brain, and cerebral meninges

01.10    Intracranial pressure monitoring

Includes: insertion of catheter or probe for monitoring

01.11    Closed [percutaneous] [needle] biopsy of cerebral meninges

Burr hole approach

01.12    Open biopsy of cerebral meninges

01.13    Closed [percutaneous] [needle] biopsy of brain

Burr hole approach

Stereotactic method

01.14    Open biopsy of brain

01.15    Biopsy of skull

01.16    Intracranial oxygen monitoring

Includes: insertion of catheter or probe for monitoring

Partial pressure of brain oxygen (PbtO2)

01.17    Brain temperature monitoring

Includes: insertion of catheter or probe for monitoring

01.18    Other diagnostic procedures on brain and cerebral meninges

Excludes: brain temperature monitoring (01.17)

cerebral:

arteriography (88.41)

thermography (88.81)

contrast radiogram of brain (87.01-87.02)

echoencephalogram (88.71)

electroencephalogram (89.14)

intracranial oxygen monitoring (01.16)

intracranial pressure monitoring (01.10)

microscopic examination of specimen from nervous system and of spinal fluid (90.01-90.09)

neurologic examination (89.13)

phlebography of head and neck  (88.61)

pneumoencephalogram (87.01)

radioisotope scan:

cerebral (92.11)

head NEC (92.12)

tomography of head:

C.A.T. scan (87.03)

other (87.04)

01.19    Other diagnostic procedures on skull

Excludes: transillumination of skull (89.16)

x-ray of skull (87.17)

01.2      Craniotomy and craniectomy

Excludes:    decompression of skull fracture (02.02)

exploration of orbit (16.01-16.09)

that as operative approach -- omit code

01.21    Incision and drainage of cranial sinus

01.22    Removal of intracranial neurostimulator lead(s)

Code also any removal of neurostimulator pulse generator (86.05)

Excludes: removal with synchronous replacement (02.93)

01.23    Reopening of craniotomy site

01.24    Other craniotomy

Cranial:

decompression

exploration

trephination

Craniotomy NOS

Craniotomy with removal of:

epidural abscess

extradural hematoma

foreign body of skull

Excludes: removal of foreign body with incision into brain (01.39)

01.25    Other craniectomy

Debridement of skull NOS

Sequestrectomy of skull

Excludes: debridement of compound fracture of skull (02.02)

strip craniectomy (02.01)

01.26    Insertion of catheter(s) into cranial cavity or tissue

Code also any concomitant procedure (e.g. resection (01.59))

Excludes: placement of intracerebral catheter(s) via burr hole(s) (01.28)

01.27    Removal of catheter(s) from cranial cavity or tissue

01.28     Placement of intracerebral catheter(s) via burr hole(s)

Convection enhanced delivery

Stereotactic placement of intracerebral catheter(s)

Code also infusion of medication

Excludes: insertion of catheter(s) into cranial cavity or tissue(s) (01.26)

01.3      Incision of brain and cerebral meninges

01.31    Incision of cerebral meninges

Drainage of:

intracranial hygroma

subarachnoid abscess (cerebral)

subdural empyema

01.32    Lobotomy and tractotomy

Division of:

brain tissue

cerebral tracts

Percutaneous (radiofrequency) cingulotomy

01.39    Other incision of brain

Amygdalohippocampotomy

Drainage of intracerebral hematoma

Incision of brain NOS

Excludes: division of cortical adhesions (02.91)

01.4      Operations on thalamus and globus pallidus

01.41    Operations on thalamus

Chemothalamectomy

   Thalamotomy

Excludes: that by stereotactic radiosurgery (92.30 - 92.39)

01.42    Operations on globus pallidus

Pallidoansectomy

Pallidotomy

Excludes: that by stereotactic radiosurgery (92.30 - 92.39)

01.5      Other excision or destruction of brain and meninges

01.51    Excision of lesion or tissue of cerebral meninges

Decortication of (cerebral) meninges

Resection of (cerebral) meninges

Stripping of subdural membrane of (cerebral) meninges

Excludes: biopsy of cerebral meninges (01.11-01.12)

01.52    Hemispherectomy

01.53    Lobectomy of brain

01.59    Other excision or destruction of lesion or tissue of brain

Curettage of brain

Debridement of brain

Marsupialization of brain cyst

Transtemporal (mastoid) excision of brain tumor

Excludes: biopsy of brain (01.13-01.14)

that by stereotactic radiosurgery (92.30 - 92.39)

01.6      Excision of lesion of skull

Removal of granulation tissue of cranium

Excludes:    biopsy of skull (01.15)

sequestrectomy (01.25)

02.0      Cranioplasty

Excludes:    that with synchronous repair of encephalocele (02.12)

02.01    Opening of cranial suture

Linear craniectomy

Strip craniectomy

02.02    Elevation of skull fracture fragments

Debridement of compound fracture of skull

Decompression of skull fracture

Reduction of skull fracture

Code also any synchronous debridement of brain (01.59)

Excludes: debridement of skull NOS (01.25)

removal of granulation tissue of cranium (01.6)

02.03    Formation of cranial bone flap

Repair of skull with flap

02.04    Bone graft to skull

Pericranial graft (autogenous) (heterogenous)

02.05    Insertion of skull plate

Replacement of skull plate

02.06    Other cranial osteoplasty

Repair of skull NOS

Revision of bone flap of skull

02.07    Removal of skull plate

Excludes: removal with synchronous replacement (02.05)

02.1      Repair of cerebral meninges

Excludes:    marsupialization of cerebral lesion (01.59)

02.11    Simple suture of dura mater of brain

02.12    Other repair of cerebral meninges

Closure of fistula of cerebrospinal fluid

Dural graft

Repair of encephalocele including synchronous cranioplasty

Repair of meninges NOS

Subdural patch

02.13    Ligation of meningeal vessel

Ligation of:

longitudinal sinus

middle meningeal artery

02.14    Choroid plexectomy

Cauterization of choroid plexus

02.2      Ventriculostomy

Anastomosis of ventricle to:

cervical subarachnoid space

cisterna magna

Insertion of Holter valve

Ventriculocisternal intubation

02.3      Extracranial ventricular shunt

Includes:         that with insertion of valve

02.31    Ventricular shunt to structure in head and neck

Ventricle to nasopharynx shunt

Ventriculomastoid anastomosis

02.32    Ventricular shunt to circulatory system

Ventriculoatrial anastomosis

Ventriculocaval shunt

02.33    Ventricular shunt to thoracic cavity

Ventriculopleural anastomosis

02.34    Ventricular shunt to abdominal cavity and organs

Ventriculocholecystostomy

Ventriculoperitoneostomy

02.35    Ventricular shunt to urinary system

Ventricle to ureter shunt

02.39    Other operations to establish drainage of ventricle

Ventricle to bone marrow shunt

Ventricular shunt to extracranial site NEC

02.4      Revision, removal, and irrigation of ventricular shunt

Excludes:    revision of distal catheter of ventricular shunt (54.95)

02.41    Irrigation and exploration of ventricular shunt

Exploration of ventriculoperitoneal shunt at ventricular site

Re-programming of ventriculoperitoneal shunt

02.42    Replacement of ventricular shunt

Reinsertion of Holter valve

Replacement of ventricular catheter

Revision of ventriculoperitoneal shunt at ventricular site

02.43    Removal of ventricular shunt

02.9      Other operations on skull, brain, and cerebral meninges

Excludes:    operations on:

pineal gland (07.17, 07.51-07.59)

pituitary gland [hypophysis] (07.13-07.15, 07.61-07.79)

02.91    Lysis of cortical adhesions

02.92    Repair of brain

02.93    Implantation or replacement of intracranial neurostimulator lead(s)

Implantation, insertion, placement, or replacement of intracranial:

brain pacemaker [neuropacemaker]

depth electrodes

epidural pegs

electroencephalographic receiver

foramen ovale electrodes

intracranial electrostimulator

subdural grids

subdural strips

Code also any insertion of neurostimulator pulse generator (86.94-86.98)

02.94    Insertion or replacement of skull tongs or halo traction device

02.95    Removal of skull tongs or halo traction device

02.96    Insertion of sphenoidal electrodes

02.99    Other

Excludes: chemical shock therapy (94.24)

electroshock therapy:

subconvulsive (94.26)

other (94.27)

Code also any application or administration of an adhesion barrier substance (99.77)

03.0      Exploration and decompression of spinal canal structures

03.01    Removal of foreign body from spinal canal

03.02    Reopening of laminectomy site

03.09    Other exploration and decompression of spinal canal

Decompression:

laminectomy

laminotomy

Expansile laminoplasty

Exploration of spinal nerve root

Foraminotomy

Code also any synchronous insertion, replacement and revision of posterior

spinal motion preservation device(s), if performed (84.80 - 84.85)

Excludes: drainage of spinal fluid by anastomosis (03.71-03.79)

laminectomy with excision of intervertebral disc (80.51)

spinal tap (03.31)

that as operative approach -- omit code

03.1      Division of intraspinal nerve root

Rhizotomy

03.2      Chordotomy

03.21    Percutaneous chordotomy

Stereotactic chordotomy

03.29    Other chordotomy

Chordotomy NOS

Tractotomy (one-stage) (two-stage) of spinal cord

Transection of spinal cord tracts

03.3      Diagnostic procedures on spinal cord and spinal canal structures

03.31    Spinal tap

Lumbar puncture for removal of dye

Excludes: lumbar puncture for injection of dye [myelogram] (87.21)

03.32    Biopsy of spinal cord or spinal meninges

03.39    Other diagnostic procedures on spinal cord and spinal canal structures

Excludes: microscopic examination of specimen from nervous system or of spinal fluid (90.01-90.09)

x-ray of spine (87.21-87.29)

03.4      Excision or destruction of lesion of spinal cord or spinal meninges

Curettage of spinal cord or spinal meninges

Debridement of spinal cord or spinal meninges

Marsupialization of cyst of spinal cord or spinal meninges

Resection of spinal cord or spinal meninges

Excludes:    biopsy of spinal cord or meninges (03.32)

03.5      Plastic operations on spinal cord structures

03.51    Repair of spinal meningocele

Repair of meningocele NOS

03.52    Repair of spinal myelomeningocele

03.53    Repair of vertebral fracture

Elevation of spinal bone fragments

Reduction of fracture of vertebrae

Removal of bony spicules from spinal canal

Excludes:    kyphoplasty (81.66)

vertebroplasty (81.65)

03.59    Other repair and plastic operations on spinal cord structures

Repair of:

diastematomyelia

spina bifida NOS

spinal cord NOS

spinal meninges NOS

vertebral arch defect

03.6      Lysis of adhesions of spinal cord and nerve roots

03.7      Shunt of spinal theca

Includes:         that with valve

03.71    Spinal subarachnoid-peritoneal shunt

03.72    Spinal subarachnoid-ureteral shunt

03.79    Other shunt of spinal theca

Lumbar-subarachnoid shunt NOS

Pleurothecal anastomosis

Salpingothecal anastomosis

03.8      Injection of destructive agent into spinal canal

03.9      Other operations on spinal cord and spinal canal structures

03.90    Insertion of catheter into spinal canal for infusion of therapeutic or palliative substances

 Insertion of catheter into epidural, subarachnoid, or subdural space of spine with intermittent or continuous infusion of drug (with creation of any reservoir)

Code also any implantation of infusion pump (86.06)

03.91    Injection of anesthetic into spinal canal for analgesia

Excludes: that for operative anesthesia -- omit code

03.92    Injection of other agent into spinal canal

Intrathecal injection of steroid

Subarachnoid perfusion of refrigerated saline

Excludes: injection of:

contrast material for myelogram (87.21)

destructive agent into spinal canal (03.8)

03.93    Implantation or replacement of spinal neurostimulator lead(s)

Code also any insertion of neurostimulator pulse generator (86.94-86.98)

03.94    Removal of spinal neurostimulator lead(s)

Code also any removal of neurostimulator pulse generator (86.05)

03.95    Spinal blood patch

03.96    Percutaneous denervation of facet

03.97    Revision of spinal thecal shunt

03.98    Removal of spinal thecal shunt

03.99    Other

04.0      Incision, division, and excision of cranial and peripheral nerves

Excludes:    opticociliary neurectomy (12.79)

sympathetic ganglionectomy (05.21-05.29)

04.01    Excision of acoustic neuroma

That by craniotomy

Excludes: that by stereotactic radiosurgery (92.30 - 92.39)

04.02    Division of trigeminal nerve

Retrogasserian neurotomy

04.03    Division or crushing of other cranial and peripheral nerves

Excludes: that of:

glossopharyngeal nerve (29.92)

laryngeal nerve (31.91)

nerves to adrenal glands (07.42)

phrenic nerve for collapse of lung (33.31)

vagus nerve (44.00-44.03)

04.04    Other incision of cranial and peripheral nerves

04.05    Gasserian ganglionectomy

04.06    Other cranial or peripheral ganglionectomy

Excludes: sympathetic ganglionectomy (05.21-05.29)

04.07    Other excision or avulsion of cranial and peripheral nerves

Curettage of peripheral nerve

Debridement of peripheral nerve

Resection of peripheral nerve

Excision of peripheral neuroma [Morton's]

Excludes: biopsy of cranial or peripheral nerve (04.11-04.12)

04.1      Diagnostic procedures on peripheral nervous system

04.11    Closed [percutaneous] [needle] biopsy of cranial or peripheral nerve or ganglion

04.12    Open biopsy of cranial or peripheral nerve or ganglion

04.19    Other diagnostic procedures on cranial and peripheral nerves and ganglia

Excludes: microscopic examination of specimen from nervous system  (90.01-90.09)

neurologic examination (89.13)

04.2      Destruction of cranial and peripheral nerves

Destruction of cranial or peripheral nerves by:

cryoanalgesia

injection of neurolytic agent

radiofrequency

Radiofrequency ablation

04.3      Suture of cranial and peripheral nerves

04.4      Lysis of adhesions and decompression of cranial and peripheral nerves

04.41    Decompression of trigeminal nerve root

04.42    Other cranial nerve decompression

04.43    Release of carpal tunnel

04.44    Release of tarsal tunnel

04.49    Other peripheral nerve or ganglion decompression or lysis of adhesions

Peripheral nerve neurolysis NOS

04.5      Cranial or peripheral nerve graft

04.6      Transposition of cranial and peripheral nerves

Nerve transplantation

04.7      Other cranial or peripheral neuroplasty

04.71    Hypoglossal-facial anastomosis

04.72    Accessory-facial anastomosis

04.73    Accessory-hypoglossal anastomosis

04.74    Other anastomosis of cranial or peripheral nerve

04.75    Revision of previous repair of cranial and peripheral nerves

04.76    Repair of old traumatic injury of cranial and peripheral nerves

04.79    Other neuroplasty

04.8      Injection into peripheral nerve

Excludes:    destruction of nerve (by injection of neurolytic agent) (04.2)

04.80    Peripheral nerve injection, not otherwise specified

04.81    Injection of anesthetic into peripheral nerve for analgesia

Excludes: that for operative anesthesia -- omit code

04.89    Injection of other agent, except neurolytic

Excludes: injection of neurolytic agent (04.2)

04.9      Other operations on cranial and peripheral nerves

04.91    Neurectasis

04.92    Implantation or replacement of peripheral neurostimulator lead(s)

Code also any insertion of neurostimulator pulse generator (86.94-86.98)

04.93    Removal of peripheral neurostimulator lead(s)

Code also any removal of neurostimulator pulse generator (86.05)

04.99    Other

Excludes:    paracervical uterine denervation (69.3)

05.0      Division of sympathetic nerve or ganglion

Excludes:    that of nerves to adrenal glands (07.42)

05.1      Diagnostic procedures on sympathetic nerves or ganglia

05.11    Biopsy of sympathetic nerve or ganglion

05.19    Other diagnostic procedures on sympathetic nerves or ganglia

05.2      Sympathectomy

05.21    Sphenopalatine ganglionectomy

05.22    Cervical sympathectomy

05.23    Lumbar sympathectomy

05.24    Presacral sympathectomy

05.25    Periarterial sympathectomy

05.29    Other sympathectomy and ganglionectomy

Excision or avulsion of sympathetic nerve NOS

Sympathetic ganglionectomy NOS

Excludes: biopsy of sympathetic nerve or ganglion (05.11)

opticociliary neurectomy (12.79)

periarterial sympathectomy  (05.25)

tympanosympathectomy (20.91)

05.3      Injection into sympathetic nerve or ganglion

Excludes:    injection of ciliary sympathetic ganglion (12.79)

05.31    Injection of anesthetic into sympathetic nerve for analgesia

05.32    Injection of neurolytic agent into sympathetic nerve

05.39    Other injection into sympathetic nerve or ganglion

05.8      Other operations on sympathetic nerves or ganglia

05.81    Repair of sympathetic nerve or ganglion

05.89    Other

05.9      Other operations on nervous system

Includes:         incidental resection of hyoid bone

06.0      Incision of thyroid field

Excludes:    division of isthmus (06.91)

06.01    Aspiration of thyroid field

Percutaneous or needle drainage of thyroid field

Excludes: aspiration biopsy of thyroid (06.11)

drainage by incision (06.09)

postoperative aspiration of field (06.02)

06.02    Reopening of wound of thyroid field

Reopening of wound of thyroid field for:

control of (postoperative) hemorrhage

examination

exploration

removal of hematoma

06.09    Other incision of thyroid field

Drainage of hematoma by incision

Drainage of thyroglossal tract by incision

Exploration:

neck by incision

thyroid (field) by incision

Removal of foreign body by incision

Thyroidotomy NOS by incision

Excludes: postoperative exploration (06.02)

removal of hematoma by aspiration (06.01)

06.1      Diagnostic procedures on thyroid and parathyroid glands

06.11    Closed [percutaneous] [needle] biopsy of thyroid gland

Aspiration biopsy of thyroid

06.12    Open biopsy of thyroid gland

06.13    Biopsy of parathyroid gland

06.19    Other diagnostic procedures on thyroid and parathyroid glands

Excludes: radioisotope scan of:

parathyroid (92.13)

thyroid (92.01)

soft tissue x-ray of thyroid field (87.09)

06.2      Unilateral thyroid lobectomy

Complete removal of one lobe of thyroid (with removal of isthmus or portion of other lobe)

Hemithyroidectomy

Excludes:    partial substernal thyroidectomy (06.51)

06.3      Other partial thyroidectomy

06.31    Excision of lesion of thyroid

Excludes: biopsy of thyroid (06.11-06.12)

06.39    Other

Isthmectomy

Partial thyroidectomy NOS

Excludes: partial substernal thyroidectomy (06.51)

06.4      Complete thyroidectomy

Excludes:    complete substernal thyroidectomy (06.52)

that with laryngectomy (30.3-30.4)

06.5      Substernal thyroidectomy

06.50    Substernal thyroidectomy, not otherwise specified

06.51    Partial substernal thyroidectomy

06.52    Complete substernal thyroidectomy

06.6      Excision of lingual thyroid

Excision of thyroid by:

submental route

transoral route

06.7      Excision of thyroglossal duct or tract

06.8      Parathyroidectomy

06.81    Complete parathyroidectomy

06.89    Other parathyroidectomy

Parathyroidectomy NOS

Partial parathyroidectomy

Excludes: biopsy of parathyroid (06.13)

06.9      Other operations on thyroid (region) and parathyroid

06.91    Division of thyroid isthmus

Transection of thyroid isthmus

06.92    Ligation of thyroid vessels

06.93    Suture of thyroid gland

06.94    Thyroid tissue reimplantation

Autotransplantation of thyroid tissue

06.95    Parathyroid tissue reimplantation

Autotransplantation of parathyroid tissue

06.98    Other operations on thyroid glands

06.99    Other operations on parathyroid glands

Includes:         operations on:

adrenal glands

pineal gland

pituitary gland

thymus

Excludes:    operations on:

aortic and carotid bodies (39.8)

ovaries (65.0-65.99)

pancreas (52.01-52.99)

testes (62.0-62.99)

07.0      Exploration of adrenal field

Excludes:    incision of adrenal (gland) (07.41)

07.00    Exploration of adrenal field, not otherwise specified

07.01    Unilateral exploration of adrenal field

07.02    Bilateral exploration of adrenal field

07.1      Diagnostic procedures on adrenal glands, pituitary gland, pineal gland, and thymus

07.11    Closed [percutaneous] [needle] biopsy of adrenal gland

07.12    Open biopsy of adrenal gland

07.13    Biopsy of pituitary gland, transfrontal approach

07.14    Biopsy of pituitary gland, transsphenoidal approach

07.15    Biopsy of pituitary gland, unspecified approach

07.16    Biopsy of thymus

07.17    Biopsy of pineal gland

07.19    Other diagnostic procedures on adrenal glands, pituitary gland, pineal gland, and thymus

Excludes: microscopic examination of specimen from endocrine gland  (90.11-90.19)

radioisotope scan of pituitary gland (92.11)

07.2      Partial adrenalectomy

07.21    Excision of lesion of adrenal gland

Excludes: biopsy of adrenal gland (07.11-07.12)

07.22    Unilateral adrenalectomy

Adrenalectomy NOS

Excludes: excision of remaining adrenal gland (07.3)

07.29    Other partial adrenalectomy

Partial adrenalectomy NOS

07.3      Bilateral adrenalectomy

Excision of remaining adrenal gland

Excludes:    bilateral partial adrenalectomy (07.29)

07.4      Other operations on adrenal glands, nerves, and vessels

07.41    Incision of adrenal gland

Adrenalotomy (with drainage)

07.42    Division of nerves to adrenal glands

07.43    Ligation of adrenal vessels

07.44    Repair of adrenal gland

07.45    Reimplantation of adrenal tissue

Autotransplantation of adrenal tissue

07.49    Other

07.5      Operations on pineal gland

07.51    Exploration of pineal field

Excludes: that with incision of pineal gland (07.52)

07.52    Incision of pineal gland

07.53    Partial excision of pineal gland

Excludes: biopsy of pineal gland (07.17)

07.54    Total excision of pineal gland

Pinealectomy (complete) (total)

07.59    Other operations on pineal gland

07.6      Hypophysectomy

07.61    Partial excision of pituitary gland, transfrontal approach

Cryohypophysectomy, partial transfrontal approach

Division of hypophyseal stalk transfrontal approach

Excision of lesion of pituitary [hypophysis] transfrontal approach

Hypophysectomy, subtotal transfrontal approach

Infundibulectomy, hypophyseal transfrontal approach

Excludes: biopsy of pituitary gland, transfrontal approach (07.13)

07.62    Partial excision of pituitary gland, transsphenoidal approach

Excludes: biopsy of pituitary gland, transsphenoidal approach (07.14)

07.63    Partial excision of pituitary gland, unspecified approach

Excludes: biopsy of pituitary gland NOS (07.15)

07.64    Total excision of pituitary gland, transfrontal approach

Ablation of pituitary by implantation (strontium-yttrium) (Y) transfrontal approach

Cryohypophysectomy, complete transfrontal approach

07.65    Total excision of pituitary gland, transsphenoidal approach

07.68    Total excision of pituitary gland, other specified approach

07.69    Total excision of pituitary gland, unspecified approach

Hypophysectomy NOS

Pituitectomy NOS

07.7      Other operations on hypophysis

07.71    Exploration of pituitary fossa

Excludes: exploration with incision of pituitary gland (07.72)

07.72    Incision of pituitary gland

Aspiration of:

craniobuccal pouch

craniopharyngioma

hypophysis

pituitary gland

Rathke's pouch

07.79    Other

Insertion of pack into sella turcica

07.8      Thymectomy

07.80    Thymectomy, not otherwise specified

07.81    Other partial excision of thymus

Open partial excision of thymus

Excludes: biopsy of thymus (07.16)

thoracoscopic partial excision of thymus (07.83)

07.82    Other total excision of thymus

   Open total excision of thymus

Excludes:  thoracoscopic total excision of thymus (07.84)

07.83  Thoracoscopic partial excision of thymus

Excludes:  other partial excision of thymus (07.81)

07.84  Thoracoscopic total excision of thymus

Excludes:  other total excision of thymus (07.82)

07.9      Other operations on thymus

07.91    Exploration of thymus field

Excludes: exploration with incision of thymus (07.92)

07.92    Other incision of thymus

Open incision of thymus

Excludes:  thoracoscopic incision of thymus (07.95)

07.93    Repair of thymus

07.94    Transplantation of thymus

07.95    Thoracoscopic incision of thymus

Excludes:  other incision of thymus (07.92)

07.98  Other and unspecified thoracoscopic operations on thymus

07.99    Other and unspecified operations on thymus

Transcervical thymectomy

Excludes:  other thoracoscopic operations on thymus (07.98)

Includes:         operations on the eyebrow

08.0      Incision of eyelid

08.01    Incision of lid margin

08.02    Severing of blepharorrhaphy

08.09    Other incision of eyelid

08.1      Diagnostic procedures on eyelid

08.11    Biopsy of eyelid

08.19    Other diagnostic procedures on eyelid

08.2      Excision or destruction of lesion or tissue of eyelid

Code also any synchronous reconstruction (08.61-08.74)

Excludes:    biopsy of eyelid (08.11)

08.20    Removal of lesion of eyelid, not otherwise specified

Removal of meibomian gland NOS

08.21    Excision of chalazion

08.22    Excision of other minor lesion of eyelid

Excision of:

verucca

wart

08.23    Excision of major lesion of eyelid, partial-thickness

Excision involving one-fourth or more of lid margin, partial-thickness

08.24    Excision of major lesion of eyelid, full-thickness

Excision involving one-fourth or more of lid margin, full-thickness

Wedge resection of eyelid

08.25    Destruction of lesion of eyelid

08.3      Repair of blepharoptosis and lid retraction

08.31    Repair of blepharoptosis by frontalis muscle technique with suture

08.32    Repair of blepharoptosis by frontalis muscle technique with fascial sling

08.33    Repair of blepharoptosis by resection or advancement of levator muscle or aponeurosis

08.34    Repair of blepharoptosis by other levator muscle techniques

08.35    Repair of blepharoptosis by tarsal technique

08.36    Repair of blepharoptosis by other techniques

Correction of eyelid ptosis NOS

Orbicularis oculi muscle sling for correction of blepharoptosis

08.37    Reduction of overcorrection of ptosis

08.38    Correction of lid retraction

08.4      Repair of entropion or ectropion

08.41    Repair of entropion or ectropion by thermocauterization

08.42    Repair of entropion or ectropion by suture technique

08.43    Repair of entropion or ectropion with wedge resection

08.44    Repair of entropion or ectropion with lid reconstruction

08.49    Other repair of entropion or ectropion

08.5      Other adjustment of lid position

08.51    Canthotomy

Enlargement of palpebral fissure

08.52    Blepharorrhaphy

Canthorrhaphy

Tarsorrhaphy

08.59    Other

Canthoplasty NOS

Repair of epicanthal fold

08.6      Reconstruction of eyelid with flaps or grafts

Excludes:    that associated with repair of entropion and ectropion (08.44)

08.61    Reconstruction of eyelid with skin flap or graft

08.62    Reconstruction of eyelid with mucous membrane flap or graft

08.63    Reconstruction of eyelid with hair follicle graft

08.64    Reconstruction of eyelid with tarsoconjunctival flap

Transfer of tarsoconjunctival flap from opposing lid

08.69    Other reconstruction of eyelid with flaps or grafts

08.7      Other reconstruction of eyelid

Excludes:    that associated with repair of entropion and ectropion (08.44)

08.70    Reconstruction of eyelid, not otherwise specified

08.71    Reconstruction of eyelid involving lid margin, partial-thickness

08.72    Other reconstruction of eyelid, partial-thickness

08.73    Reconstruction of eyelid involving lid margin, full-thickness

08.74    Other reconstruction of eyelid, full-thickness

08.8      Other repair of eyelid

08.81    Linear repair of laceration of eyelid or eyebrow

08.82    Repair of laceration involving lid margin, partial-thickness

08.83    Other repair of laceration of eyelid, partial-thickness

08.84    Repair of laceration involving lid margin, full-thickness

08.85    Other repair of laceration of eyelid, full-thickness

08.86    Lower eyelid rhytidectomy

08.87    Upper eyelid rhytidectomy

08.89    Other eyelid repair

08.9      Other operations on eyelids

08.91    Electrosurgical epilation of eyelid

08.92    Cryosurgical epilation of eyelid

08.93    Other epilation of eyelid

08.99    Other

09.0      Incision of lacrimal gland

Incision of lacrimal cyst (with drainage)

09.1      Diagnostic procedures on lacrimal system

09.11    Biopsy of lacrimal gland

09.12    Biopsy of lacrimal sac

09.19    Other diagnostic procedures on lacrimal system

Excludes: contrast dacryocystogram (87.05)

soft tissue x-ray of nasolacrimal duct (87.09)

09.2      Excision of lesion or tissue of lacrimal gland

09.20    Excision of lacrimal gland, not otherwise specified

09.21    Excision of lesion of lacrimal gland

Excludes: biopsy of lacrimal gland (09.11)

09.22    Other partial dacryoadenectomy

Excludes: biopsy of lacrimal gland (09.11)

09.23    Total dacryoadenectomy

09.3      Other operations on lacrimal gland

09.4      Manipulation of lacrimal passage

Includes:         removal of calculus

that with dilation

Excludes:    contrast dacryocystogram (87.05)

09.41    Probing of lacrimal punctum

09.42    Probing of lacrimal canaliculi

09.43    Probing of nasolacrimal duct

Excludes: that with insertion of tube or stent (09.44)

09.44    Intubation of nasolacrimal duct

Insertion of stent into nasolacrimal duct

09.49    Other manipulation of lacrimal passage

09.5      Incision of lacrimal sac and passages

09.51    Incision of lacrimal punctum

09.52    Incision of lacrimal canaliculi

09.53    Incision of lacrimal sac

09.59    Other incision of lacrimal passages

Incision (and drainage) of nasolacrimal duct NOS

09.6      Excision of lacrimal sac and passage

Excludes:    biopsy of lacrimal sac (09.12)

09.7      Repair of canaliculus and punctum

Excludes:    repair of eyelid (08.81-08.89)

09.71    Correction of everted punctum

09.72    Other repair of punctum

09.73    Repair of canaliculus

09.8      Fistulization of lacrimal tract to nasal cavity

09.81    Dacryocystorhinostomy [DCR]

09.82    Conjunctivocystorhinostomy

Conjunctivodacryocystorhinostomy [CDCR]

Excludes: that with insertion of tube or stent (09.83)

09.83    Conjunctivorhinostomy with insertion of tube or stent

09.9      Other operations on lacrimal system

09.91    Obliteration of lacrimal punctum

09.99    Other

10.0      Removal of embedded foreign body from conjunctiva by incision

Excludes:    removal of:

embedded foreign body without incision (98.22)

superficial foreign body (98.21)

10.1      Other incision of conjunctiva

10.2      Diagnostic procedures on conjunctiva

10.21    Biopsy of conjunctiva

10.29    Other diagnostic procedures on conjunctiva

10.3      Excision or destruction of lesion or tissue of conjunctiva

10.31    Excision of lesion or tissue of conjunctiva

Excision of ring of conjunctiva around cornea

Excludes: biopsy of conjunctiva (10.21)

10.32    Destruction of lesion of conjunctiva

Excludes: excision of lesion (10.31)

thermocauterization for entropion (08.41)

10.33    Other destructive procedures on conjunctiva

Removal of trachoma follicles

10.4      Conjunctivoplasty

10.41    Repair of symblepharon with free graft

10.42    Reconstruction of conjunctival cul-de-sac with free graft

Excludes: revision of enucleation socket with graft (16.63)

10.43    Other reconstruction of conjunctival cul-de-sac

Excludes: revision of enucleation socket (16.64)

10.44    Other free graft to conjunctiva

10.49    Other conjunctivoplasty

Excludes: repair of cornea with conjunctival flap (11.53)

10.5      Lysis of adhesions of conjunctiva and eyelid

Division of symblepharon (with insertion of conformer)

10.6      Repair of laceration of conjunctiva

Excludes:    that with repair of sclera (12.81)

10.9      Other operations on conjunctiva

10.91    Subconjunctival injection

10.99    Other

11.0      Magnetic removal of embedded foreign body from cornea

Excludes:    that with incision (11.1)

11.1      Incision of cornea

Incision of cornea for removal of foreign body

11.2      Diagnostic procedures on cornea

11.21    Scraping of cornea for smear or culture

11.22    Biopsy of cornea

11.29    Other diagnostic procedures on cornea

11.3      Excision of pterygium

11.31    Transposition of pterygium

11.32    Excision of pterygium with corneal graft

11.39    Other excision of pterygium

11.4      Excision or destruction of tissue or other lesion of cornea

11.41    Mechanical removal of corneal epithelium

That by chemocauterization

Excludes: that for smear or culture (11.21)

11.42    Thermocauterization of corneal lesion

11.43    Cryotherapy of corneal lesion

11.49    Other removal or destruction of corneal lesion

Excision of cornea NOS

Excludes: biopsy of cornea (11.22)

11.5      Repair of cornea

11.51    Suture of corneal laceration

11.52    Repair of postoperative wound dehiscence of cornea

11.53    Repair of corneal laceration or wound with conjunctival flap

11.59    Other repair of cornea

11.6      Corneal transplant

Excludes:    excision of pterygium with corneal graft (11.32)

11.60    Corneal transplant, not otherwise specified

Keratoplasty NOS

Note: To report donor source - see codes 00.91-00.93

11.61    Lamellar keratoplasty with autograft

11.62    Other lamellar keratoplasty

11.63    Penetrating keratoplasty with autograft

Perforating keratoplasty with autograft

11.64    Other penetrating keratoplasty

Perforating keratoplasty (with homograft)

11.69    Other corneal transplant

11.7      Other reconstructive and refractive surgery on cornea

11.71    Keratomileusis

11.72    Keratophakia

11.73    Keratoprosthesis

11.74    Thermokeratoplasty

11.75    Radial keratotomy

11.76    Epikeratophakia

11.79    Other

11.9      Other operations on cornea

11.91    Tattooing of cornea

11.92    Removal of artificial implant from cornea

11.99    Other

Excludes:    operations on cornea (11.0-11.99)

12.0      Removal of intraocular foreign body from anterior segment of eye

12.00    Removal of intraocular foreign body from anterior segment of eye, not otherwise specified

12.01    Removal of intraocular foreign body from anterior segment of eye with use of magnet

12.02    Removal of intraocular foreign body from anterior segment of eye without use of magnet

12.1      Iridotomy and simple iridectomy

Excludes:    iridectomy associated with:

cataract extraction (13.11-13.69)

removal of lesion (12.41-12.42)

scleral fistulization (12.61-12.69)

12.11    Iridotomy with transfixion

12.12    Other iridotomy

Corectomy

Discission of iris

Iridotomy NOS

12.13    Excision of prolapsed iris

12.14    Other iridectomy

Iridectomy (basal) (peripheral) (total)

12.2      Diagnostic procedures on iris, ciliary body, sclera, and anterior chamber

12.21    Diagnostic aspiration of anterior chamber of eye

12.22    Biopsy of iris

12.29    Other diagnostic procedures on iris, ciliary body, sclera, and anterior chamber

12.3      Iridoplasty and coreoplasty

12.31    Lysis of goniosynechiae

Lysis of goniosynechiae by injection of air or liquid

12.32    Lysis of other anterior synechiae

Lysis of anterior synechiae:

NOS

by injection of air or liquid

12.33    Lysis of posterior synechiae

Lysis of iris adhesions NOS

12.34    Lysis of corneovitreal adhesions

12.35    Coreoplasty

Needling of pupillary membrane

12.39    Other iridoplasty

12.4      Excision or destruction of lesion of iris and ciliary body

12.40    Removal of lesion of anterior segment of eye, not otherwise specified

12.41    Destruction of lesion of iris, nonexcisional

Destruction of lesion of iris by:

cauterization

cryotherapy

photocoagulation

12.42    Excision of lesion of iris

Excludes: biopsy of iris (12.22)

12.43    Destruction of lesion of ciliary body, nonexcisional

12.44    Excision of lesion of ciliary body

12.5      Facilitation of intraocular circulation

12.51    Goniopuncture without goniotomy

12.52    Goniotomy without goniopuncture

12.53    Goniotomy with goniopuncture

12.54    Trabeculotomy ab externo

12.55    Cyclodialysis

12.59    Other facilitation of intraocular circulation

12.6      Scleral fistulization

Excludes:    exploratory sclerotomy (12.89)

12.61    Trephination of sclera with iridectomy

12.62    Thermocauterization of sclera with iridectomy

12.63    Iridencleisis and iridotasis

12.64    Trabeculectomy ab externo

12.65    Other scleral fistulization with iridectomy

12.66    Postoperative revision of scleral fistulization procedure

Revision of filtering bleb

Excludes: repair of fistula (12.82)

12.69    Other fistulizing procedure

12.7      Other procedures for relief of elevated intraocular pressure

12.71    Cyclodiathermy

12.72    Cyclocryotherapy

12.73    Cyclophotocoagulation

12.74    Diminution of ciliary body, not otherwise specified

12.79    Other glaucoma procedures

12.8      Operations on sclera

Excludes:    those associated with:

retinal reattachment (14.41-14.59)

scleral fistulization (12.61-12.69)

12.81    Suture of laceration of sclera

Suture of sclera with synchronous repair of conjunctiva

12.82    Repair of scleral fistula

Excludes: postoperative revision of scleral fistulization procedure (12.66)

12.83    Revision of operative wound of anterior segment, not elsewhere classified

Excludes: postoperative revision of scleral fistulization procedure (12.66)

12.84    Excision or destruction of lesion of sclera

12.85    Repair of scleral staphyloma with graft

12.86    Other repair of scleral staphyloma

12.87    Scleral reinforcement with graft

12.88    Other scleral reinforcement

12.89    Other operations on sclera

Exploratory sclerotomy

12.9      Other operations on iris, ciliary body, and anterior chamber

12.91    Therapeutic evacuation of anterior chamber

Paracentesis of anterior chamber

Excludes: diagnostic aspiration (12.21)

12.92    Injection into anterior chamber

Injection of:

air into anterior chamber

liquid into anterior chamber

medication into anterior chamber

12.93    Removal or destruction of epithelial downgrowth from anterior chamber

Excludes: that with iridectomy (12.41-12.42)

12.97    Other operations on iris

12.98    Other operations on ciliary body

12.99    Other operations on anterior chamber

13.0      Removal of foreign body from lens

Excludes:    removal of pseudophakos (13.8)

13.00    Removal of foreign body from lens, not otherwise specified

13.01    Removal of foreign body from lens with use of magnet

13.02    Removal of foreign body from lens without use of magnet

13.1      Intracapsular extraction of lens

Code also any synchronous insertion of pseudophakos (13.71)

13.11    Intracapsular extraction of lens by temporal inferior route

13.19    Other intracapsular extraction of lens

Cataract extraction NOS

Cryoextraction of lens

Erysiphake extraction of cataract

Extraction of lens NOS

13.2      Extracapsular extraction of lens by linear extraction technique

13.3      Extracapsular extraction of lens by simple aspiration (and irrigation) technique

Irrigation of traumatic cataract

13.4      Extracapsular extraction of lens by fragmentation and aspiration technique

13.41    Phacoemulsification and aspiration of cataract

13.42    Mechanical phacofragmentation and aspiration of cataract by posterior route

Code also any synchronous vitrectomy (14.74)

13.43    Mechanical phacofragmentation and other aspiration of cataract

13.5      Other extracapsular extraction of lens

Code also any synchronous insertion of pseudophakos (13.71)

13.51    Extracapsular extraction of lens by temporal inferior route

13.59    Other extracapsular extraction of lens

13.6      Other cataract extraction

Code also any synchronous insertion of pseudophakos (13.71)

13.64    Discission of secondary membrane [after cataract]

13.65    Excision of secondary membrane [after cataract] Capsulectomy

13.66    Mechanical fragmentation of secondary membrane [after cataract]

13.69    Other cataract extraction

13.7      Insertion of prosthetic lens [pseudophakos]

Excludes: implantation of intraocular telescope prosthesis (13.91)

13.70    Insertion of pseudophakos, not otherwise specified

13.71    Insertion of intraocular lens prosthesis at time of cataract extraction, one-stage

Code also synchronous extraction of cataract (13.11-13.69)

13.72    Secondary insertion of intraocular lens prosthesis

13.8      Removal of implanted lens

Removal of pseudophakos

13.9      Other operations on lens

13.90     Operation on lens, Not Elsewhere Classified

13.91     Implantation of intraocular telescope prosthesis

Implantable miniature telescope

Includes removal of lens, any method

Excludes: secondary insertion of ocular implant (16.61)

14.0      Removal of foreign body from posterior segment of eye

Excludes:    removal of surgically implanted material (14.6)

14.00    Removal of foreign body from posterior segment of eye, not otherwise specified

14.01    Removal of foreign body from posterior segment of eye with use of magnet

14.02    Removal of foreign body from posterior segment of eye without use of magnet

14.1      Diagnostic procedures on retina, choroid, vitreous, and posterior chamber

14.11    Diagnostic aspiration of vitreous

14.19    Other diagnostic procedures on retina, choroid, vitreous, and posterior chamber

14.2      Destruction of lesion of retina and choroid

Includes:         destruction of chorioretinopathy or isolated chorioretinal lesion

Excludes:    that for repair of retina (14.31-14.59)

14.21    Destruction of chorioretinal lesion by diathermy

14.22    Destruction of chorioretinal lesion by cryotherapy

14.23    Destruction of chorioretinal lesion by xenon arc photocoagulation

14.24    Destruction of chorioretinal lesion by laser photocoagulation

14.25    Destruction of chorioretinal lesion by photocoagulation of unspecified type

14.26    Destruction of chorioretinal lesion by radiation therapy

14.27    Destruction of chorioretinal lesion by implantation of radiation source

14.29    Other destruction of chorioretinal lesion

Destruction of lesion of retina and choroid NOS

14.3      Repair of retinal tear

Includes:         repair of retinal defect

Excludes:    repair of retinal detachment (14.41-14.59)

14.31    Repair of retinal tear by diathermy

14.32    Repair of retinal tear by cryotherapy

14.33    Repair of retinal tear by xenon arc photocoagulation

14.34    Repair of retinal tear by laser photocoagulation

14.35    Repair of retinal tear by photocoagulation of unspecified type

14.39    Other repair of retinal tear

14.4      Repair of retinal detachment with scleral buckling and implant

14.41    Scleral buckling with implant

14.49    Other scleral buckling

Scleral buckling with:

air tamponade

resection of sclera

vitrectomy

14.5      Other repair of retinal detachment

Includes:         that with drainage

14.51    Repair of retinal detachment with diathermy

14.52    Repair of retinal detachment with cryotherapy

14.53    Repair of retinal detachment with xenon arc photocoagulation

14.54    Repair of retinal detachment with laser photocoagulation

14.55    Repair of retinal detachment with photocoagulation of unspecified type

14.59    Other

14.6      Removal of surgically implanted material from posterior segment of eye

14.7      Operations on vitreous

14.71    Removal of vitreous, anterior approach

Open sky technique

Removal of vitreous, anterior approach (with replacement)

14.72    Other removal of vitreous

Aspiration of vitreous by posterior sclerotomy

14.73    Mechanical vitrectomy by anterior approach

14.74    Other mechanical vitrectomy

Posterior approach

14.75    Injection of vitreous substitute

Excludes: that associated with removal (14.71-14.72)

14.79    Other operations on vitreous

14.9      Other operations on retina, choroid, and posterior chamber

15.0      Diagnostic procedures on extraocular muscles or tendons

15.01    Biopsy of extraocular muscle or tendon

15.09    Other diagnostic procedures on extraocular muscles and tendons

15.1      Operations on one extraocular muscle involving temporary detachment from globe

15.11    Recession of one extraocular muscle

15.12    Advancement of one extraocular muscle

15.13    Resection of one extraocular muscle

15.19    Other operations on one extraocular muscle involving temporary detachment from globe

Excludes: transposition of muscle (15.5)

15.2      Other operations on one extraocular muscle

15.21    Lengthening procedure on one extraocular muscle

15.22    Shortening procedure on one extraocular muscle

15.29    Other

15.3      Operations on two or more extraocular muscles involving temporary detachment from globe, one or both eyes

15.4      Other operations on two or more extraocular muscles, one or both eyes

15.5      Transposition of extraocular muscles

Excludes:    that for correction of ptosis (08.31-08.36)

15.6      Revision of extraocular muscle surgery

15.7      Repair of injury of extraocular muscle

Freeing of entrapped extraocular muscle

Lysis of adhesions of extraocular muscle

Repair of laceration of extraocular muscle, tendon, or Tenon's capsule

15.9      Other operations on extraocular muscles and tendons

Excludes:    reduction of fracture of orbit (76.78-76.79)

16.0      Orbitotomy

16.01    Orbitotomy with bone flap

Orbitotomy with lateral approach

16.02    Orbitotomy with insertion of orbital implant

Excludes: that with bone flap (16.01)

16.09    Other orbitotomy

16.1      Removal of penetrating foreign body from eye, not otherwise specified

Excludes:    removal of nonpenetrating foreign body (98.21)

16.2      Diagnostic procedures on orbit and eyeball

16.21    Ophthalmoscopy

16.22    Diagnostic aspiration of orbit

16.23    Biopsy of eyeball and orbit

16.29    Other diagnostic procedures on orbit and eyeball

Excludes: examination of form and structure of eye (95.11-95.16)

general and subjective eye examination (95.01-95.09)

microscopic examination of specimen from eye  (90.21-90.29)

objective functional tests of eye (95.21-95.26)

ocular thermography (88.82)

tonometry (89.11)

x-ray of orbit (87.14, 87.16)

16.3      Evisceration of eyeball

16.31    Removal of ocular contents with synchronous implant into scleral shell

16.39    Other evisceration of eyeball

16.4      Enucleation of eyeball

16.41    Enucleation of eyeball with synchronous implant into Tenon's capsule with attachment of muscles

Integrated implant of eyeball

16.42    Enucleation of eyeball with other synchronous implant

16.49    Other enucleation of eyeball

Removal of eyeball NOS

16.5      Exenteration of orbital contents

16.51    Exenteration of orbit with removal of adjacent structures

Radical orbitomaxillectomy

16.52    Exenteration of orbit with therapeutic removal of orbital bone

16.59    Other exenteration of orbit

Evisceration of orbit NOS

Exenteration of orbit with temporalis muscle transplant

16.6      Secondary procedures after removal of eyeball

Excludes:    that with synchronous:

enucleation of eyeball (16.41-16.42)

evisceration of eyeball (16.31)

16.61    Secondary insertion of ocular implant

16.62    Revision and reinsertion of ocular implant

16.63    Revision of enucleation socket with graft

16.64    Other revision of enucleation socket

16.65    Secondary graft to exenteration cavity

16.66    Other revision of exenteration cavity

16.69    Other secondary procedures after removal of eyeball

16.7      Removal of ocular or orbital implant

16.71    Removal of ocular implant

16.72    Removal of orbital implant

16.8      Repair of injury of eyeball and orbit

16.81    Repair of wound of orbit

Excludes: reduction of orbital fracture (76.78-76.79)

repair of extraocular muscles (15.7)

16.82    Repair of rupture of eyeball

Repair of multiple structures of eye

Excludes: repair of laceration of:

cornea (11.51-11.59)

sclera (12.81)

16.89    Other repair of injury of eyeball or orbit

16.9      Other operations on orbit and eyeball

Excludes:    irrigation of eye (96.51)

prescription and fitting of low vision aids (95.31-95.33)

removal of:

eye prosthesis NEC (97.31)

nonpenetrating foreign body from eye without incision (98.21)

16.91    Retrobulbar injection of therapeutic agent

Excludes: injection of radiographic contrast material (87.14)

opticociliary injection (12.79)

16.92    Excision of lesion of orbit

Excludes: biopsy of orbit (16.23)

16.93    Excision of lesion of eye, unspecified structure

Excludes: biopsy of eye NOS (16.23)

16.98    Other operations on orbit

16.99    Other operations on eyeball

Includes:         operations on:

external auditory canal

skin and cartilage of:

auricle

meatus

18.0      Incision of external ear

Excludes:    removal of intraluminal foreign body (98.11)

18.01    Piercing of ear lobe

Piercing of pinna

18.02    Incision of external auditory canal

18.09    Other incision of external ear

18.1      Diagnostic procedures on external ear

18.11    Otoscopy

18.12    Biopsy of external ear

18.19    Other diagnostic procedures on external ear

Excludes: microscopic examination of specimen from ear (90.31-90.39)

18.2      Excision or destruction of lesion of external ear

18.21    Excision of preauricular sinus

Radical excision of preauricular sinus or cyst

Excludes: excision of preauricular remnant [appendage] (18.29)

18.29    Excision or destruction of other lesion of external ear

Cauterization of external ear

Coagulation of external ear

Cryosurgery of external ear

Curettage of external ear

Electrocoagulation of external ear

Enucleation of external ear

Excision of:

exostosis of external auditory canal

preauricular remnant [appendage]

Partial excision of ear

Excludes: biopsy of external ear (18.12)

radical excision of lesion (18.31)

removal of cerumen (96.52)

18.3      Other excision of external ear

Excludes:    biopsy of external ear (18.12)

18.31    Radical excision of lesion of external ear

Excludes: radical excision of preauricular sinus (18.21)

18.39    Other

Amputation of external ear

Excludes: excision of lesion (18.21-18.29, 18.31)

18.4      Suture of laceration of external ear

18.5      Surgical correction of prominent ear

Ear:

pinning

setback

18.6      Reconstruction of external auditory canal

Canaloplasty of external auditory meatus

Construction [reconstruction] of external meatus of ear:

osseous portion

skin-lined portion (with skin graft)

18.7      Other plastic repair of external ear

18.71    Construction of auricle of ear

Prosthetic appliance for absent ear

Reconstruction:

auricle

ear

18.72    Reattachment of amputated ear

18.79    Other plastic repair of external ear

Otoplasty NOS

Postauricular skin graft

Repair of lop ear

18.9      Other operations on external ear

Excludes:    irrigation of ear (96.52)

packing of external auditory canal (96.11)

removal of:

cerumen (96.52)

foreign body (without incision) (98.11)

19.0      Stapes mobilization

Division, otosclerotic:

material

process

Remobilization of stapes

Stapediolysis

Transcrural stapes mobilization

Excludes:    that with synchronous stapedectomy (19.11-19.19)

19.1      Stapedectomy

Excludes:    revision of previous stapedectomy (19.21-19.29)

stapes mobilization only (19.0)

19.11    Stapedectomy with incus replacement

Stapedectomy with incus:

homograft

prosthesis

19.19    Other stapedectomy

19.2      Revision of stapedectomy

19.21    Revision of stapedectomy with incus replacement

19.29    Other revision of stapedectomy

19.3      Other operations on ossicular chain

Incudectomy NOS

Ossiculectomy NOS

Reconstruction of ossicles, second stage

19.4      Myringoplasty

Epitympanic, type I

Myringoplasty by:

cauterization

graft

Tympanoplasty (type I)

19.5      Other tympanoplasty

19.52    Type II tympanoplasty

Closure of perforation with graft against incus or malleus

19.53    Type III tympanoplasty

Graft placed in contact with mobile and intact stapes

19.54    Type IV tympanoplasty

Mobile footplate left exposed with air pocket between round window and graft

19.55    Type V tympanoplasty

Fenestra in horizontal semicircular canal covered by graft

19.6      Revision of tympanoplasty

19.9      Other repair of middle ear

Closure of mastoid fistula

Mastoid myoplasty

Obliteration of tympanomastoid cavity

20.0      Myringotomy

20.01    Myringotomy with insertion of tube

Myringostomy

20.09    Other myringotomy

Aspiration of middle ear NOS

20.1      Removal of tympanostomy tube

20.2      Incision of mastoid and middle ear

20.21    Incision of mastoid

20.22    Incision of petrous pyramid air cells

20.23    Incision of middle ear

Atticotomy

Division of tympanum

Lysis of adhesions of middle ear

Excludes: division of otosclerotic process (19.0)

stapediolysis (19.0)

that with stapedectomy (19.11-19.19)

20.3      Diagnostic procedures on middle and inner ear

20.31    Electrocochleography

20.32    Biopsy of middle and inner ear

20.39    Other diagnostic procedures on middle and inner ear

Excludes: auditory and vestibular function tests (89.13, 95.41-95.49)

microscopic examination of specimen from ear  (90.31-90.39)

20.4      Mastoidectomy

Code also any:

skin graft (18.79)

tympanoplasty (19.4-19.55)

Excludes:    that with implantation of cochlear prosthetic device (20.96-20.98)

20.41    Simple mastoidectomy

20.42    Radical mastoidectomy

20.49    Other mastoidectomy

Atticoantrostomy

Mastoidectomy:

NOS

modified radical

20.5      Other excision of middle ear

Excludes:    that with synchronous mastoidectomy (20.41-20.49)

20.51    Excision of lesion of middle ear

Excludes: biopsy of middle ear (20.32)

20.59    Other

Apicectomy of petrous pyramid

Tympanectomy

20.6      Fenestration of inner ear

20.61    Fenestration of inner ear (initial)

Fenestration of:

labyrinth with graft (skin) (vein)

semicircular canals with graft (skin) (vein)

vestibule with graft (skin) (vein)

Excludes: that with tympanoplasty, type V (19.55)

20.62    Revision of fenestration of inner ear

20.7      Incision, excision, and destruction of inner ear

20.71    Endolymphatic shunt

20.72    Injection into inner ear

Destruction by injection (alcohol):

inner ear

semicircular canals

vestibule

20.79    Other incision, excision, and destruction of inner ear

Decompression of labyrinth

Drainage of inner ear

Fistulization:

endolymphatic sac

labyrinth

Incision of endolymphatic sac

Labyrinthectomy (transtympanic)

Opening of bony labyrinth

Perilymphatic tap

Excludes: biopsy of inner ear (20.32)

20.8      Operations on Eustachian tube

Catheterization of Eustachian tube

Inflation of Eustachian tube

Injection (Teflon paste) of Eustachian tube

Insufflation (boric acid-salicylic acid) Intubation of Eustachian tube

Politzerization of Eustachian tube

20.9      Other operations on inner and middle ear

20.91    Tympanosympathectomy

20.92    Revision of mastoidectomy

20.93    Repair of oval and round windows

Closure of fistula:

oval window

perilymph

round window

20.94    Injection of tympanum

20.95    Implantation of electromagnetic hearing device

Bone conduction hearing device

Excludes: cochlear prosthetic device (20.96-20.98)

20.96    Implantation or replacement of cochlear prosthetic device, not otherwise specified

Implantation of receiver (within skull) and insertion of electrode(s) in the cochlea

Includes:         mastoidectomy

Excludes: electromagnetic hearing device (20.95)

20.97    Implantation or replacement of cochlear prosthetic device, single channel

Implantation of receiver (within skull) and insertion of electrode in the cochlea

Includes:         mastoidectomy

Excludes: electromagnetic hearing device (20.95)

20.98    Implantation or replacement of cochlear prosthetic device, multiple channel

Implantation of receiver (within skull) and insertion of electrodes in the cochlea

Includes:         mastoidectomy

Excludes: electromagnetic hearing device (20.95)

20.99    Other operations on middle and inner ear

Attachment of percutaneous abutment (screw) for prosthetic device

Repair or removal of cochlear prosthetic device (receiver) (electrode)

Excludes: adjustment (external components) of cochlear prosthetic device  (95.49)

fitting of hearing aid (95.48)

Includes:         operations on:

bone of nose

skin of nose

21.0      Control of epistaxis

21.00    Control of epistaxis, not otherwise specified

21.01    Control of epistaxis by anterior nasal packing

21.02    Control of epistaxis by posterior (and anterior) packing

21.03    Control of epistaxis by cauterization (and packing)

21.04    Control of epistaxis by ligation of ethmoidal arteries

21.05    Control of epistaxis by (transantral) ligation of the maxillary artery

21.06    Control of epistaxis by ligation of the external carotid artery

21.07    Control of epistaxis by excision of nasal mucosa and skin grafting of septum and lateral nasal wall

21.09    Control of epistaxis by other means

21.1      Incision of nose

Chondrotomy

Incision of skin of nose

Nasal septotomy

21.2      Diagnostic procedures on nose

21.21    Rhinoscopy

21.22    Biopsy of nose

21.29    Other diagnostic procedures on nose

Excludes: microscopic examination of specimen from nose (90.31-90.39)

nasal:

function study (89.12)

x-ray (87.16)

rhinomanometry (89.12)

21.3      Local excision or destruction of lesion of nose

Excludes:    biopsy of nose (21.22)

nasal fistulectomy (21.82)

21.30    Excision or destruction of lesion of nose, not otherwise specified

21.31    Local excision or destruction of intranasal lesion

Nasal polypectomy

21.32    Local excision or destruction of other lesion of nose

21.4      Resection of nose

Amputation of nose

21.5      Submucous resection of nasal septum

21.6      Turbinectomy

21.61    Turbinectomy by diathermy or cryosurgery

21.62    Fracture of the turbinates

21.69    Other turbinectomy

Excludes: turbinectomy associated with sinusectomy (22.31-22.39,  22.42, 22.60-22.64)

21.7      Reduction of nasal fracture

21.71    Closed reduction of nasal fracture

21.72    Open reduction of nasal fracture

21.8      Repair and plastic operations on the nose

21.81    Suture of laceration of nose

21.82    Closure of nasal fistula

Nasolabial fistulectomy

Nasopharyngeal fistulectomy

Oronasal fistulectomy

21.83    Total nasal reconstruction

Reconstruction of nose with:

arm flap

forehead flap

21.84    Revision rhinoplasty

Rhinoseptoplasty

Twisted nose rhinoplasty

21.85    Augmentation rhinoplasty

Augmentation rhinoplasty with:

graft

synthetic implant

21.86    Limited rhinoplasty

Plastic repair of nasolabial flaps

Tip rhinoplasty

21.87    Other rhinoplasty

Rhinoplasty NOS

21.88    Other septoplasty

Crushing of nasal septum

Repair of septal perforation

Excludes: septoplasty associated with submucous resection of septum  (21.5)

21.89    Other repair and plastic operations on nose

Reattachment of amputated nose

21.9      Other operations on nose

21.91    Lysis of adhesions of nose

Posterior nasal scrub

21.99    Other

Excludes: dilation of frontonasal duct (96.21)

irrigation of nasal passages (96.53)

removal of:

intraluminal foreign body without incision (98.12)

nasal packing (97.32)

replacement of nasal packing (97.21)

22.0      Aspiration and lavage of nasal sinus

22.00    Aspiration and lavage of nasal sinus, not otherwise specified

22.01    Puncture of nasal sinus for aspiration or lavage

22.02    Aspiration or lavage of nasal sinus through natural ostium

22.1      Diagnostic procedures on nasal sinus

22.11    Closed [endoscopic] [needle] biopsy of nasal sinus

22.12    Open biopsy of nasal sinus

22.19    Other diagnostic procedures on nasal sinuses

Endoscopy without biopsy

Excludes: transillumination of sinus (89.35)

x-ray of sinus (87.15-87.16)

22.2      Intranasal antrotomy

Excludes:    antrotomy with external approach (22.31-22.39)

22.3      External maxillary antrotomy

22.31    Radical maxillary antrotomy

Removal of lining membrane of maxillary sinus using Caldwell-Luc approach

22.39    Other external maxillary antrotomy

Exploration of maxillary antrum with Caldwell-Luc approach

22.4      Frontal sinusotomy and sinusectomy

22.41    Frontal sinusotomy

22.42    Frontal sinusectomy

Excision of lesion of frontal sinus

Obliteration of frontal sinus (with fat)

Excludes: biopsy of nasal sinus (22.11-22.12)

22.5      Other nasal sinusotomy

22.50    Sinusotomy, not otherwise specified

22.51    Ethmoidotomy

22.52    Sphenoidotomy

22.53    Incision of multiple nasal sinuses

22.6      Other nasal sinusectomy

Includes:         that with incidental turbinectomy

Excludes:    biopsy of nasal sinus (22.11-22.12)

22.60    Sinusectomy, not otherwise specified

22.61    Excision of lesion of maxillary sinus with Caldwell-Luc approach

22.62    Excision of lesion of maxillary sinus with other approach

22.63    Ethmoidectomy

22.64    Sphenoidectomy

22.7      Repair of nasal sinus

22.71    Closure of nasal sinus fistula

Repair of oro-antral fistula

22.79    Other repair of nasal sinus

Reconstruction of frontonasal duct

Repair of bone of accessory sinus

22.9      Other operations on nasal sinuses

Exteriorization of maxillary sinus

Fistulization of sinus

Excludes:    dilation of frontonasal duct (96.21)

23.0      Forceps extraction of tooth

23.01    Extraction of deciduous tooth

23.09    Extraction of other tooth

Extraction of tooth NOS

23.1      Surgical removal of tooth

23.11    Removal of residual root

23.19    Other surgical extraction of tooth

Odontectomy NOS

Removal of impacted tooth

Tooth extraction with elevation of mucoperiosteal flap

23.2      Restoration of tooth by filling

23.3      Restoration of tooth by inlay

23.4      Other dental restoration

23.41    Application of crown

23.42    Insertion of fixed bridge

23.43    Insertion of removable bridge

23.49    Other

23.5      Implantation of tooth

23.6      Prosthetic dental implant

Endosseous dental implant

23.7      Apicoectomy and root canal therapy

23.70    Root canal, not otherwise specified

23.71    Root canal therapy with irrigation

23.72    Root canal therapy with apicoectomy

23.73    Apicoectomy

24.0      Incision of gum or alveolar bone

Apical alveolotomy

24.1      Diagnostic procedures on teeth, gums, and alveoli

24.11    Biopsy of gum

24.12    Biopsy of alveolus

24.19    Other diagnostic procedures on teeth, gums, and alveoli

Excludes: dental:

examination (89.31)

x-ray:

full-mouth (87.11)

other (87.12)

microscopic examination of dental specimen (90.81-90.89)

24.2      Gingivoplasty

Gingivoplasty with bone or soft tissue graft

24.3      Other operations on gum

24.31    Excision of lesion or tissue of gum

Excludes: biopsy of gum (24.11)

excision of odontogenic lesion (24.4)

24.32    Suture of laceration of gum

24.39    Other

24.4      Excision of dental lesion of jaw

Excision of odontogenic lesion

24.5      Alveoloplasty

Alveolectomy (interradicular) (intraseptal) (radical) (simple) (with graft or implant)

Excludes:    biopsy of alveolus (24.12)

en bloc resection of alveolar process and palate (27.32)

24.6      Exposure of tooth

24.7      Application of orthodontic appliance

Application, insertion, or fitting of:

arch bars

orthodontic obturator

orthodontic wiring

periodontal splint

Excludes:    nonorthodontic dental wiring (93.55)

24.8      Other orthodontic operation

Closure of diastema (alveolar) (dental)

Occlusal adjustment

Removal of arch bars

Repair of dental arch

Excludes:    removal of nonorthodontic wiring (97.33)

24.9      Other dental operations

24.91    Extension or deepening of buccolabial or lingual sulcus

24.99    Other

Excludes: dental:

debridement (96.54)

examination (89.31)

prophylaxis (96.54)

scaling and polishing (96.54)

wiring (93.55)

fitting of dental appliance [denture] (99.97)

microscopic examination of dental specimen (90.81-90.89)

removal of dental:

packing (97.34)

prosthesis (97.35)

wiring (97.33)

replacement of dental packing (97.22)

25.0      Diagnostic procedures on tongue

25.01    Closed [needle] biopsy of tongue

25.02    Open biopsy of tongue

Wedge biopsy

25.09    Other diagnostic procedures on tongue

25.1      Excision or destruction of lesion or tissue of tongue

Excludes:    biopsy of tongue (25.01-25.02)

frenumectomy:

labial (27.41)

lingual (25.92)

25.2      Partial glossectomy

25.3      Complete glossectomy

Glossectomy NOS

Code also any neck dissection (40.40-40.42)

25.4      Radical glossectomy

Code also any:

neck dissection (40.40-40.42)

tracheostomy (31.1-31.29)

25.5      Repair of tongue and glossoplasty

25.51    Suture of laceration of tongue

25.59    Other repair and plastic operations on tongue

Fascial sling of tongue

Fusion of tongue (to lip)

Graft of mucosa or skin to tongue

Excludes: lysis of adhesions of tongue (25.93)

25.9      Other operations on tongue

25.91    Lingual frenotomy

Excludes: labial frenotomy (27.91)

25.92    Lingual frenectomy

Excludes: labial frenectomy (27.41)

25.93    Lysis of adhesions of tongue

25.94    Other glossotomy

25.99    Other

Includes:         operations on:

lesser salivary gland and duct

parotid gland and duct

sublingual gland and duct

submaxillary gland and duct

Code also any neck dissection (40.40-40.42)

26.0      Incision of salivary gland or duct

26.1      Diagnostic procedures on salivary glands and ducts

26.11    Closed [needle] biopsy of salivary gland or duct

26.12    Open biopsy of salivary gland or duct

26.19    Other diagnostic procedures on salivary glands and ducts

Excludes: x-ray of salivary gland (87.09)

26.2      Excision of lesion of salivary gland

26.21    Marsupialization of salivary gland cyst

26.29    Other excision of salivary gland lesion

Excludes: biopsy of salivary gland (26.11-26.12)

salivary fistulectomy (26.42)

26.3      Sialoadenectomy

26.30    Sialoadenectomy, not otherwise specified

26.31    Partial sialoadenectomy

26.32    Complete sialoadenectomy

En bloc excision of salivary gland lesion

Radical sialoadenectomy

26.4      Repair of salivary gland or duct

26.41    Suture of laceration of salivary gland

26.42    Closure of salivary fistula

26.49    Other repair and plastic operations on salivary gland or duct

Fistulization of salivary gland

Plastic repair of salivary gland or duct NOS

Transplantation of salivary duct opening

26.9      Other operations on salivary gland or duct

26.91    Probing of salivary duct

26.99    Other

Includes:         operations on:

lips

palate

soft tissue of face and mouth, except tongue and gingiva

Excludes:    operations on:

gingiva (24.0-24.99)

tongue (25.01-25.99)

27.0      Drainage of face and floor of mouth

Drainage of:

facial region (abscess)

fascial compartment of face

Ludwig's angina

Excludes:    drainage of thyroglossal tract (06.09)

27.1      Incision of palate

27.2      Diagnostic procedures on oral cavity

27.21    Biopsy of bony palate

27.22    Biopsy of uvula and soft palate

27.23    Biopsy of lip

27.24    Biopsy of mouth, unspecified structure

27.29    Other diagnostic procedures on oral cavity

Excludes: soft tissue x-ray (87.09)

27.3      Excision of lesion or tissue of bony palate

27.31    Local excision or destruction of lesion or tissue of bony palate

Local excision or destruction of palate by:

cautery

chemotherapy

cryotherapy

Excludes: biopsy of bony palate (27.21)

27.32    Wide excision or destruction of lesion or tissue of bony palate

En bloc resection of alveolar process and palate

27.4      Excision of other parts of mouth

27.41    Labial frenectomy

Excludes: division of labial frenum (27.91)

27.42    Wide excision of lesion of lip

27.43    Other excision of lesion or tissue of lip

27.49    Other excision of mouth

Excludes: biopsy of mouth NOS (27.24)

excision of lesion of:

palate (27.31-27.32)

tongue (25.1)

uvula (27.72)

fistulectomy of mouth (27.53)

frenectomy of:

lip (27.41)

tongue (25.92)

27.5      Plastic repair of mouth

Excludes:    palatoplasty (27.61-27.69)

27.51    Suture of laceration of lip

27.52    Suture of laceration of other part of mouth

27.53    Closure of fistula of mouth

Excludes: fistulectomy:

nasolabial (21.82)

oro-antral (22.71)

oronasal (21.82)

27.54    Repair of cleft lip

27.55    Full-thickness skin graft to lip and mouth

27.56    Other skin graft to lip and mouth

27.57    Attachment of pedicle or flap graft to lip and mouth

27.59    Other plastic repair of mouth

27.6      Palatoplasty

27.61    Suture of laceration of palate

27.62    Correction of cleft palate

Correction of cleft palate by push-back operation

Excludes: revision of cleft palate repair (27.63)

27.63    Revision of cleft palate repair

Secondary:

attachment of pharyngeal flap

lengthening of palate

27.64    Insertion of palatal implant

27.69    Other plastic repair of palate

Code also any insertion of palatal implant (27.64)

Excludes: fistulectomy of mouth (27.53)

27.7      Operations on uvula

27.71    Incision of uvula

27.72    Excision of uvula

Excludes: biopsy of uvula (27.22)

27.73    Repair of uvula

Excludes: that with synchronous cleft palate repair (27.62)

uranostaphylorrhaphy (27.62)

27.79    Other operations on uvula

27.9      Other operations on mouth and face

27.91    Labial frenotomy

Division of labial frenum

Excludes: lingual frenotomy (25.91)

27.92    Incision of mouth, unspecified structure

Excludes: incision of:

gum (24.0)

palate (27.1)

salivary gland or duct (26.0)

tongue (25.94)

uvula (27.71)

27.99    Other operations on oral cavity

Graft of buccal sulcus

Excludes: removal of:

intraluminal foreign body (98.01)

penetrating foreign body from mouth without incision (98.22)

28.0      Incision and drainage of tonsil and peritonsillar structures

Drainage (oral) (transcervical) of:

parapharyngeal abscess

peritonsillar abscess

retropharyngeal abscess

tonsillar abscess

28.1      Diagnostic procedures on tonsils and adenoids

28.11    Biopsy of tonsils and adenoids

28.19    Other diagnostic procedures on tonsils and adenoids

Excludes: soft tissue x-ray (87.09)

28.2      Tonsillectomy without adenoidectomy

28.3      Tonsillectomy with adenoidectomy

28.4      Excision of tonsil tag

28.5      Excision of lingual tonsil

28.6      Adenoidectomy without tonsillectomy

Excision of adenoid tag

28.7      Control of hemorrhage after tonsillectomy and adenoidectomy

28.9      Other operations on tonsils and adenoids

28.91    Removal of foreign body from tonsil and adenoid by incision

Excludes: that without incision (98.13)

28.92    Excision of lesion of tonsil and adenoid

Excludes: biopsy of tonsil and adenoid  (28.11)

28.99    Other

Includes:         operations on:

hypopharynx

nasopharynx

oropharynx

pharyngeal pouch

pyriform sinus

29.0      Pharyngotomy

Drainage of pharyngeal bursa

Excludes:    incision and drainage of retropharyngeal abscess (28.0)

removal of foreign body (without incision) (98.13)

29.1      Diagnostic procedures on pharynx

29.11    Pharyngoscopy

29.12    Pharyngeal biopsy

Biopsy of supraglottic mass

29.19    Other diagnostic procedures on pharynx

Excludes: x-ray of nasopharynx:

contrast (87.06)

other (87.09)

29.2      Excision of branchial cleft cyst or vestige

Excludes:    branchial cleft fistulectomy (29.52)

29.3      Excision or destruction of lesion or tissue of pharynx

29.31    Cricopharyngeal myotomy

Excludes: that with pharyngeal diverticulectomy (29.32)

29.32    Pharyngeal diverticulectomy

29.33    Pharyngectomy (partial)

Excludes: laryngopharyngectomy (30.3)

29.39    Other excision or destruction of lesion or tissue of pharynx

29.4      Plastic operation on pharynx

Correction of nasopharyngeal atresia

Excludes:    pharyngoplasty associated with cleft palate repair (27.62-27.63)

29.5      Other repair of pharynx

29.51    Suture of laceration of pharynx

29.52    Closure of branchial cleft fistula

29.53    Closure of other fistula of pharynx

Pharyngoesophageal fistulectomy

29.54    Lysis of pharyngeal adhesions

29.59    Other

29.9      Other operations on pharynx

29.91    Dilation of pharynx

Dilation of nasopharynx

29.92    Division of glossopharyngeal nerve

29.99    Other

Excludes: insertion of radium into pharynx and nasopharynx (92.27)

removal of intraluminal foreign body (98.13)

30.0      Excision or destruction of lesion or tissue of larynx

30.01    Marsupialization of laryngeal cyst

30.09    Other excision or destruction of lesion or tissue of larynx

Stripping of vocal cords

Excludes: biopsy of larynx (31.43)

laryngeal fistulectomy (31.62)

laryngotracheal fistulectomy  (31.62)

30.1      Hemilaryngectomy

30.2      Other partial laryngectomy

30.21    Epiglottidectomy

30.22    Vocal cordectomy

Excision of vocal cords

30.29    Other partial laryngectomy

Excision of laryngeal cartilage

30.3      Complete laryngectomy

Block dissection of larynx (with thyroidectomy) (with synchronous tracheostomy)

Laryngopharyngectomy

Excludes:    that with radical neck dissection (30.4)

30.4      Radical laryngectomy

Complete [total] laryngectomy with radical neck dissection (with thyroidectomy) (with synchronous tracheostomy)

31.0      Injection of larynx

Injection of inert material into larynx or vocal cords

31.1      Temporary tracheostomy

Tracheotomy for assistance in breathing

31.2      Permanent tracheostomy

31.21    Mediastinal tracheostomy

31.29    Other permanent tracheostomy

Excludes: that with laryngectomy (30.3-30.4)

31.3      Other incision of larynx or trachea

Excludes:    that for assistance in breathing (31.1-31.29)

31.4      Diagnostic procedures on larynx and trachea

31.41    Tracheoscopy through artificial stoma

Excludes: that with biopsy (31.43-31.44)

31.42    Laryngoscopy and other tracheoscopy

Excludes: that with biopsy (31.43-31.44)

31.43    Closed [endoscopic] biopsy of larynx

31.44    Closed [endoscopic] biopsy of trachea

31.45    Open biopsy of larynx or trachea

31.48    Other diagnostic procedures on larynx

Excludes: contrast laryngogram (87.07)

microscopic examination of specimen from larynx (90.31-90.39)

soft tissue x-ray of larynx NEC  (87.09)

31.49    Other diagnostic procedures on trachea

Excludes: microscopic examination of specimen from trachea (90.41-90.49)

x-ray of trachea (87.49)

31.5      Local excision or destruction of lesion or tissue of trachea

Excludes:    biopsy of trachea (31.44-31.45)

laryngotracheal fistulectomy (31.62)

tracheoesophageal fistulectomy (31.73)

31.6      Repair of larynx

31.61    Suture of laceration of larynx

31.62    Closure of fistula of larynx

Laryngotracheal fistulectomy

Take-down of laryngostomy

31.63    Revision of laryngostomy

31.64    Repair of laryngeal fracture

31.69    Other repair of larynx

Arytenoidopexy

Graft of larynx

Transposition of vocal cords

Excludes: construction of artificial larynx (31.75)

31.7      Repair and plastic operations on trachea

31.71    Suture of laceration of trachea

31.72    Closure of external fistula of trachea

Closure of tracheotomy

31.73    Closure of other fistula of trachea

Tracheoesophageal fistulectomy

Excludes: laryngotracheal fistulectomy  (31.62)

31.74    Revision of tracheostomy

31.75    Reconstruction of trachea and construction of artificial larynx

Tracheoplasty with artificial larynx

31.79    Other repair and plastic operations on trachea

31.9      Other operations on larynx and trachea

31.91    Division of laryngeal nerve

31.92    Lysis of adhesions of trachea or larynx

31.93    Replacement of laryngeal or tracheal stent

31.94    Injection of locally-acting therapeutic substance into trachea

31.95    Tracheoesophageal fistulization

31.98    Other operations on larynx

Dilation of larynx

Division of congenital web of larynx

Removal of keel or stent of larynx

Excludes: removal of intraluminal foreign body from larynx without incision (98.14)

31.99    Other operations on trachea

Excludes: removal of:

intraluminal foreign body from trachea without incision (98.15)

tracheostomy tube (97.37)

replacement of tracheostomy tube  (97.23)

tracheostomy toilette (96.55)

Includes:         rib resection as operative approach

sternotomy as operative approach

sternum-splitting incision as operative approach

thoracotomy as operative approach

Code also any synchronous bronchoplasty (33.48)

32.0      Local excision or destruction of lesion or tissue of bronchus

Excludes:    biopsy of bronchus (33.24-33.25)

bronchial fistulectomy (33.42)

32.01    Endoscopic excision or destruction of lesion or tissue of bronchus

32.09    Other local excision or destruction of lesion or tissue of bronchus

Excludes: that by endoscopic approach  (32.01)

32.1      Other excision of bronchus

Resection (wide sleeve) of bronchus

Excludes:    radical dissection [excision] of bronchus (32.6)

32.2      Local excision or destruction of lesion or tissue of lung

32.20  Thoracoscopic excision of lesion or tissue of lung

Thoracoscopic wedge resection

32.21    Plication of emphysematous bleb

32.22    Lung volume reduction surgery

32.23     Open ablation of lung lesion or tissue

32.24     Percutaneous ablation of lung lesion or tissue

32.25     Thoracoscopic ablation of lung lesion or tissue

Excludes:  thoracoscopic excision of lesion or tissue of lung (32.20)

32.26    Other and unspecified ablation of lung lesion or tissue

32.28    Endoscopic excision or destruction of lesion or tissue of lung

Excludes: ablation of lung lesion or tissue:

open (32.23)

other (32.26)

percutaneous (32.24)

thoracoscopic (32.25)

biopsy of lung (33.26-33.27)

32.29    Other local excision or destruction of lesion or tissue of lung

Resection of lung:

NOS

wedge

Excludes: ablation of lung lesion or tissue:

open (32.23)

other (32.26)

percutaneous (32.24)

thoracoscopic (32.25)

biopsy of lung (33.26-33.27)

that by endoscopic approach  (32.28)

thoracoscopic excision of lesion or tissue of lung (32.20)

wide excision of lesion of lung  (32.3)

32.3      Segmental resection of lung

Partial lobectomy

32.30  Thoracoscopic segmental resection of lung

32.39  Other and unspecified segmental resection of lung

Excludes:  thoracoscopic segmental resection of lung (32.30)

32.4      Lobectomy of lung

Lobectomy with segmental resection of adjacent lobes of lung

Excludes:    that with radical dissection [excision] of thoracic structures (32.6)

32.41  Thoracoscopic lobectomy of lung

32.49  Other lobectomy of lung

Excludes: thoracoscopic lobectomy of lung (32.41)

32.5      Pneumonectomy

Excision of lung NOS

Pneumonectomy (with mediastinal dissection)

32.50  Thoracoscopic pneumonectomy

32.59  Other and unspecified pneumonectomy

Excludes:  thoracoscopic pneumonectomy (32.50)

32.6      Radical dissection of thoracic structures

Block [en bloc] dissection of bronchus, lobe of lung, brachial plexus, intercostal structure, ribs (transverse process), and sympathetic nerves

32.9      Other excision of lung

Excludes:    biopsy of lung and bronchus (33.24-33.27)

pulmonary decortication (34.51)

Includes:         rib resection as operative approach

sternotomy as operative approach

sternum-splitting incision as operative approach

thoracotomy as operative approach

33.0      Incision of bronchus

33.1      Incision of lung

Excludes:    puncture of lung (33.93)

33.2      Diagnostic procedures on lung and bronchus

33.20  Thoracoscopic lung biopsy

Excludes: closed endoscopic biopsy of lung (33.27)

closed [percutaneous] [needle] biopsy of lung (33.26)

open biopsy of lung (33.28)

33.21    Bronchoscopy through artificial stoma

Excludes: that with biopsy (33.24,33.27)

33.22    Fiber-optic bronchoscopy

Excludes: that with biopsy (33.24,33.27)

33.23    Other bronchoscopy

Excludes: that for:

aspiration (96.05)

biopsy (33.24,33.27)

33.24    Closed [endoscopic] biopsy of bronchus

Bronchoscopy (fiberoptic) (rigid) with:

brush biopsy of "lung"

brushing or washing for specimen collection

excision (bite) biopsy

Diagnostic bronchoalveolar lavage (BAL)

Excludes: closed biopsy of lung, other than brush biopsy of "lung"  (33.26,33.27)

whole lung lavage (33.99)

33.25    Open biopsy of bronchus

Excludes: open biopsy of lung (33.28)

33.26    Closed [percutaneous] [needle] biopsy of lung

Fine needle aspiration (FNA) of lung

Transthoracic needle biopsy of lung (TTNB)

Excludes: endoscopic biopsy of lung (33.27)

thoracoscopic lung biopsy (33.20)

33.27    Closed endoscopic biopsy of lung

Fiber-optic (flexible) bronchoscopy with fluoroscopic guidance with biopsy

Transbronchial lung biopsy

Excludes: brush biopsy of "lung" (33.24)

percutaneous biopsy of lung (33.26)

thoracoscopic lung biopsy (33.20)

33.28    Open biopsy of lung

33.29    Other diagnostic procedures on lung and bronchus

Excludes: contrast bronchogram:

endotracheal (87.31)

other (87.32)

lung scan (92.15)

magnetic resonance imaging  (88.92)

microscopic examination of specimen from bronchus or lung (90.41-90.49)

routine chest x-ray (87.44)

ultrasonography of lung (88.73)

vital capacity determination  (89.37)

x-ray of bronchus or lung NOS  (87.49)

33.3      Surgical collapse of lung

33.31    Destruction of phrenic nerve for collapse of lung

33.32    Artificial pneumothorax for collapse of lung

Thoracotomy for collapse of lung

33.33    Pneumoperitoneum for collapse of lung

33.34    Thoracoplasty

33.39    Other surgical collapse of lung